Healthcare Provider Details

I. General information

NPI: 1316280480
Provider Name (Legal Business Name): JOYE L HENRIE PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/27/2013
Last Update Date: 08/31/2022
Certification Date: 08/31/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1201 EUBANK BLVD NE STE 1
ALBUQUERQUE NM
87112-5300
US

IV. Provider business mailing address

1201 EUBANK BLVD NE STE 1
ALBUQUERQUE NM
87112-5300
US

V. Phone/Fax

Practice location:
  • Phone: 505-361-1957
  • Fax:
Mailing address:
  • Phone: 505-361-1957
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number1457
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: